| NPI | 1770848467 |
|---|---|
| Doing Business As | MAIN LINE SPINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHILLIP SHIN Member 610-717-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443998) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2013-01-15 |